HomeMy WebLinkAbout1982, 08-11 Permit: 82A-7035 AdditionPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
2.
3
4.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
moy-
JOB ADDRESS
E. • 18o2 nuc. .--4C
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S r•I'rN dF t.ts( t0
r�tf;S645Cci°,"*3 (tU+�65�
OWNER
\W� N E R
V I I J —1 otk LACac71v i
ADDRESS
CONTRACTOR
WtE
PHONE
G
ZIP
Actual Set Backs in Feet
c
North ..`J 'South
East Z West
PHONE
Size of Parcel
50F irk.±12,
Zone Classification
ADDRESS
44-114,6
ZIP
Type Const.
�(. N
Occupancy
Sprinklered
Yes 0 N 0 Req'd.
DESIGNER
5. [AN .v Lc . i r .t,
ADDRESS
49.5 C A
PHONE
Ct2C®– e,5CO eCC04`
Val ation
Building Area in Sq. Ft.
a
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
NEW 0 ALT. dAD N. ❑ RPL.
IJ BLD. ❑ PLMB. 0 MECH. 0 M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No.1Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
1/4 -DO
WORK
r `+
8. "DO r (ON
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
1 X
WATER SEWER
Enum. Dist.
Location (Area)
Ownership
Public 0 Private
iUSE CODE
hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law reg ating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATIODi / /1 � 2 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. H��
'Planning
Y7(
Fire Marshall
Co. Engineer
Utilities
%r
Ew finer
V. '_per - list
Builldiingg Technician iY
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single S•' t-7 $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL s 15.4r2
PE R M IrefeE R
* C;
*Cl
7031
07-11-7
L
6 t 7 9,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
088�-
DATE ISSUED
703.52
PERMIT NO.
*75.O0a * _
TOTAL
0
7
•
G
5.- 3••
Z 3 "
I I -
2_ e> • '
NA A. 3:- F 7 ANo cp
5 9-
0
0
0
11